Print Violation: 00182790-AP-145423

Provider Information

Mt. Bachelor Memory Care

20225 POWERS ROAD
Bend, OR 97702

Date: 2/4/2022
Report number: 00182790-AP-145423
Type: Abuse: Neglect
Level: 2 - Minor harm or potential for moderate harm
Allegation: Failed to provide safe environment
Result: Substantiated
Rule(s) Violated: External site: 411-054-0025(1)(a) and (b)
External site: 411-054-0027(1)(f) and (r)
External site: 411-054-0028(2)
External site: 411-054-0030(1)(e)(I)
Findings: The Alleged Victim (AV) had a history of wandering and checking for open doors. On or about February 4, 2022, AV was brought back to the assisted living side of the facility by a good Samaritan that saw AV at a nearby mall and assumed AV was from the facility. Staff in the memory care checked all doors and found that even though locked, if pushed hard enough would open. AV left the facility without assistance, placing AV at risk for harm. The facility's failure to provide a safe environment is a violation of resident rights, is considered neglect of care and constitutes abuse.
Sanction: RCFCP22-00889 $169.00 fine assessed